Evidence map›Paper›PMID 37602096›Full record

ArticleCureus2023

Acute Disseminated Encephalomyelitis in a Six-Year-Old Child: A Case Report.

Roopeessh Vempati, Sri Harsha Narayana, Ritik Kathal, Juhi Chandra, Gazala Khan, Kritika Bhakoo, Praveena Sunkara

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 3 countries.

Roopeessh VempatiInternal Medicine, Gandhi Medical College & Hospital, Hyderabad, IND.
Sri Harsha NarayanaInternal Medicine, Narayana Medical College & Hospital, Nellore, IND.
Ritik KathalInternal Medicine, Shyam Shah Medical College, Rewa, IND.
Juhi ChandraMedicine, Dr. D. Y. Patil Medical College, Mumbai, IND.
Gazala KhanMedicine, Dr. VRK Women's Medical College, Hyderabad, IND.
Kritika BhakooInternal Medicine, Maharishi Markandeshwar Institute of Medical Sciences & Research, Ambala, IND.
Praveena SunkaraInternal Medicine, MedStar Medical Group, Charlotte Hall, USA.
Charlottesville Medical Research · USMaharishi Markandeshwar University, Mullana · IND.Y. Patil University · INNarayana Dental College and Hospital · INWomen Medical College · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute disseminated encephalomyelitis (ADEM) is a rare autoimmune demyelinating disorder that primarily affects the central nervous system (CNS). It is characterized by an acute inflammatory response targeting the myelin sheath surrounding nerve fibers in the brain and spinal cord. The exact mechanism of ADEM is not fully understood, but it is believed to involve an abnormal immune response that leads to the activation of immune cells and subsequent inflammation within the CNS. This immune-mediated attack results in the destruction of myelin, impairing the transmission of nerve signals and causing a wide range of neurological symptoms. This is a case of a six-year-old girl with no notable medical history presented with complaints of a fever and headache for the last month, in addition to difficulty walking for 20 days and speaking for 14 days. On CNS examination, the right upper and lower limbs' power was reduced, and the Babinski sign was seen in both lower limbs. Both sides of the triceps and knee showed increased reflexes, whereas both sides of the ankle showed decreased reflexes. Magnetic resonance imaging (MRI) showed multiple T1 hypointensities and T2-weighted fluid-attenuated inversion recovery (T2-FLAIR) hyperintensities in the subcortical white matter of the bilateral frontal and parietal lobes, bilateral cerebellar peduncles, corpus callosum, pons, and midbrain. Our case report aims to raise awareness and aid in the early recognition of ADEM because prompt recognition, accurate diagnosis, and appropriate management are essential to minimizing neurological damage and promoting favorable outcomes in affected individuals.

Indexed as

acute disseminated encephalomyelitis (adem)autoimmune neurological disordersmethylprednisonemri brain and spinewhite matter changes on mri

Identifiers

PMID37602096
PMCPMC10436026
OpenAlexW4384666918

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.